| NPI | 1609463447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LEAHY President/CEO 574-256-3935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |